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                              100       Serious Incident Prevention



                              A Manager’s Guide to Implementing and Improving Management of
                              Change Systems provides an in-depth review of systems applicable for both
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                              small and large facilities. Facilities are encouraged to customize manage-
                              ment-of-change systems based upon needs and resources. However, experi-
                              ence indicates that effective systems have several common elements,
                              including:

                                    Identifying the need for change
                                    Specifying review and approval steps
                                    Conducting appropriate hazard reviews
                                    Taking action to control associated hazards
                                    Obtaining approval and authorization
                                    Implementation of approved changes.

                                  Identification of all planned modifications or replacements not consid-
                              ered “replacement-in-kind” is a key management-of-change objective. This
                              requires identifying all planned changes involving items (e.g., equipment,
                              raw materials, procedures) that deviate from the design specification of the
                              original item being modified or replaced. Changes that affect design speci-
                              fications often lead to deviations from the normal output of a process, and
                              the significance of these potential changes must be closely evaluated prior
                              to authorizing implementation of a process change.
                                  The identification and review of planned changes provides an opportu-
                              nity to decide if a proposed change should actually be implemented. The re-
                              view process also provides the opportunity to identify any actions required
                              to control unwanted side effects that could occur from the change. The re-
                              view process must be flexible, and personnel must be trained in determin-
                              ing the level of evaluation required for a specific proposed change. For
                              example, a brief review may be fully sufficient to identify the potential con-
                              sequences for some planned changes, while an in-depth HAZOP (hazard
                              and operability), or other detailed analysis, may be required for others. The
                              level and intensity of review is typically a decision made by a designated
                              line manager, safety professional, or other authorized individual.
                                  In reviewing planned changes, accurately identifying the potential for
                              undesirable consequences can be very challenging. Effectiveness in con-
                              ducting reviews varies among individuals due to differences in knowledge
                              levels, analytical capabilities, and other personal factors. My experience, in
                              fact, indicates that individuals with truly outstanding analytical skills for
                              evaluating changes comprise only a small percentage of the workplace. The
                              variation in individual capability increases the importance of utilizing the
                              team concept in reviewing planned changes.
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